| NPI | 1093093114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA62658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11043565) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2025-11-12 |