| NPI | 1629288600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041184694) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 041184694) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |