| NPI | 1952426397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MN R0967826) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MN R0967826) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |