| NPI | 1124810866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 316376) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA 015369) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |