NPI | 1336436823 |
---|---|
Other Name | SUSAN ELIZABETH BROOMFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201507083RN) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 11392) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2017-04-22 |