| NPI | 1346661980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 153487) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 816865) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2020-05-15 |