| NPI | 1831256932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: NY 236981) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 017808-1) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |