| NPI | 1790840932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: MA 145673) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 079) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |