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 |