| NPI | 1710743109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019019040) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: VA 1401135304) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-29 |