| NPI | 1619302577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP07490) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: LA AP07490) |
| 225700000X Massage Therapist (Licence: LA LA2037) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-05-25 |