| NPI | 1043581523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL UO5536) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL UO5536) |
| 225700000X Massage Therapist (Licence: FL MA48493) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2022-11-14 |