NPI | 1740616127 |
---|---|
Former Name | LINDA KRUGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG003610) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL Ma81543) |
Enumeration Date | 2013-09-18 |
Last Update Date | 2016-06-02 |