| NPI | 1699859413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R37970) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 0629) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |