NPI | 1962082552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M04061) |
Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MD R156255) |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-05-06 |