| NPI | 1619126299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA46555) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ma46555) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2012-03-21 |