| NPI | 1457966947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 244503) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 17781) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |