NPI | 1043402860 |
---|---|
Former Name | MARIE PATTY GLINKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00009481) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP00038529) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2007-08-15 |