| NPI | 1225375686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60280963) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: WA RA60802731) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2019-06-12 |