NPI | 1053450353 |
---|---|
Former Name | MICHEL LYNN INGLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00004014) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA CL000144) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |