NPI | 1700927654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN 2150732) |
Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL RN 2150732) |
225700000X Massage Therapist (Licence: FL MA 42976) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |