| NPI | 1154082212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001298714) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019011674) |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |