| NPI | 1154550580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: WA RN00135775) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60089164) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |