| NPI | 1659644573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 4470-146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 113086-030) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |