| NPI | 1871903088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: NM 68430-MT7009) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NM 68430) |
| 225700000X Massage Therapist (Licence: NM MT7009) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2023-12-20 |