| NPI | 1700019726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E39549) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: CT E39549) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |