| NPI | 1659554475 |
|---|---|
| Former Name | NORANDA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 684978496) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 46267) |
| Enumeration Date | 2007-12-15 |
| Last Update Date | 2008-02-11 |