| NPI | 1477399004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: TX 653842) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 138179) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |