| NPI | 1740586353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL RN 1106482) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA4253) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-03-18 |