| NPI | 1871887976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9604590) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA62074) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2024-05-09 |