| NPI | 1194148270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WA 00146204) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60440829) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2021-04-27 |