NPI | 1730493511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MD R059757) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M03981) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2010-08-04 |