| NPI | 1780908467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 682038-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 011575) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2014-04-13 |