| NPI | 1508111964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: MA RN118502) |
| Additional Taxonomies | 364SR0400X Clinical Nurse Specialist Rehabilitation (Licence: MA RN118502) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |