| NPI | 1184807307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 13487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 45049) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2025-09-10 |