| NPI | 1619240546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 4281-146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 85276-030) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |