| NPI | 1962082552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MD R156255) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04061) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-10-06 |