| NPI | 1649727637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703117130) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501017098) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-12-22 |