| NPI | 1699915983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R057393) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12771) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2023-10-25 |