NPI | 1518324680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL MA46414) |
Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL RN9168919) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2016-01-20 |