| NPI | 1942218904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: IL 041222147) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227002008) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |