| NPI | 1992120406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 400869-1) |
| Additional Taxonomies | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: NY 400869-1) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2019-12-13 |