NPI | 1801073085 |
---|---|
Former Name | BARBARA ANNE BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-22637) |
Additional Taxonomies | 174400000X Specialist (Licence: FL MA44285) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2019-07-14 |