| NPI | 1043996853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: AZ 111285) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-007728) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-11-30 |