NPI | 1225399868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10033689RN) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA CAMCT 8567) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2025-04-14 |