| NPI | 1679978548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MS 3474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 888858) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2024-05-07 |