| NPI | 1891112363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 025463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 519427) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2014-03-23 |