| NPI | 1013273762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 3090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 222461) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |