| NPI | 1871978486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339802) |
| 225700000X Massage Therapist (Licence: NY 014421) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2024-03-06 |