| NPI | 1770224891 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MI 4704278422) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MI 7501010297) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |