| NPI | 1982739926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 305663) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 018461) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |