| NPI | 1790961431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA21433) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN MT0000004550) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |