| NPI | 1487662367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 1884046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 57518030) |
| 163W00000X Registered Nurse (Licence: MI 47084723) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-11-14 |