| NPI | 1841783099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 58511) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 101285) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2026-05-28 |