| NPI | 1962121012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA-49923) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN-1290081) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-06-14 |