NPI | 1144683616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60389073) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00092848) |
163WE0003X Registered Nurse, Emergency (Licence: WA RN00092848) | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |