NPI | 1942571880 |
---|---|
Former Name | ALENA TRIFONOVA KEMPF (CURRENT NAME) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: WA MA60247270) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60247270) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2015-06-16 |