| NPI | 1811215858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA102448) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5178499) |
| 225700000X Massage Therapist (Licence: FL MA44439) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2023-05-23 |