| NPI | 1306807466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 333921) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 0823) |
| 225700000X Massage Therapist (Licence: NC 0417) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-03-08 |