| NPI | 1700125804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9362) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: CT 03-464286) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2021-03-30 |