| NPI | 1396834818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 345911) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 016978) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |