| NPI | 1922712975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MT RN-RN-LIC-104447) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-22958) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |