| NPI | 1235341488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 11637) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: AK 11637) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |