| NPI | 1225451792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1098780) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 5009) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2021-06-04 |