| NPI | 1245696798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: CT 006291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 128313) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |