| NPI | 1902020555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PA RN-232509L) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA 285073-00) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |