| NPI | 1609527100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT135856) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: TX NA0061002506) |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |