| NPI | 1396135190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: IA 02610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 132817) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |