NPI | 1982940540 |
---|---|
Former Name | S. YVETTE TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: GA Mt011362) |
Additional Taxonomies | 174400000X Specialist (Licence: GA PHTC014226) |
175L00000X Homeopath | |
Enumeration Date | 2012-12-28 |
Last Update Date | 2024-04-08 |