| NPI | 1891316279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.021062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.325233) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |