| NPI | 1649425554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 552412) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 48871) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2011-12-22 |