| NPI | 1770640807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP1472172) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma33334) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2013-06-10 |