| NPI | 1871278747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: WV 53092) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 223-4023) |
| 225700000X Massage Therapist (Licence: VA 0019019311) | |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: VA 0001149304) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WV 53092) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |