| NPI | 1083043327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: TX 99440) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MASG-295) |
| 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-4317) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-11-08 |