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 |