NPI | 1902433428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06032) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MD L-27541) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2020-03-25 |