NPI | 1811410061 |
---|---|
Former Name | WINN ROBIN BRAKEFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 1631) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2017-07-19 |
Last Update Date | 2022-07-21 |