| NPI | 1205025715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00005519) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: WA RN00078529) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2007-10-20 |