| NPI | 1801335138 |
|---|---|
| Former Name | LUCILLE ELLEN BEAUDOIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: RI MT01308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN29700) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-03-08 |