| NPI | 1700164324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA30313) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NH 1431M) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2011-07-31 |