| NPI | 1427309087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH rn.389358) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.008819) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2018-05-16 |