| NPI | 1093371973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: LA RN056512) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA8117) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |