| NPI | 1669711289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-15284) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |