| NPI | 1053625954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 59911) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NE 59911) |
| 225700000X Massage Therapist (Licence: NE 2868) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2012-04-26 |