| NPI | 1194442236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 023243) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: NY 803924) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |