| NPI | 1972928570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL RN 14223992) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA75100) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |