| NPI | 1023496528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60550897) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH00006249) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-12-06 |