| NPI | 1578887824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9418050) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 57132) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2022-11-17 |