| 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 |