NPI | 1942694625 |
---|---|
Former Name | RAGHDAA HASSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 77447) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9491979) |
Enumeration Date | 2015-03-20 |
Last Update Date | 2020-12-08 |