| NPI | 1750670709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM #R66349) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: NM 8136) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2016-04-07 |