| NPI | 1447307848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL 1061302) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 42967) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-05-05 |