| NPI | 1194133918 |
|---|---|
| Former Name | IANA GABRIELA FRASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VT 026.0146755) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2021-08-27 |