| NPI | 1730852773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN9561299) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA26021) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |