| NPI | 1134772957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 24-52901-071) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 335609) |
| 225700000X Massage Therapist (Licence: MO 2022000714) | |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2025-02-27 |