| NPI | 1174245963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000813390) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT200001397) |
| 225700000X Massage Therapist (Licence: MD R03765) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-12-11 |