| NPI | 1427565472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NM 22678) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NM 22678) |
| 225700000X Massage Therapist (Licence: NM 6438) | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |