| NPI | 1912666538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QG0250X |
| Additional Taxonomies | 364SH1100X Clinical Nurse Specialist, Holistic (Licence: GA 1423765) |
| 227900000X Respiratory Therapist, Registered | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |