| NPI | 1730367871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 029376-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 265020-1) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-07-19 |