| NPI | 1972745214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 21705) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA224023) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2011-04-05 |