| NPI | 1033556865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00051449) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60342761) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2021-09-02 |