| NPI | 1275796740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN26228) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: RI MT01762) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2010-06-23 |