| NPI | 1265729180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60785258) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17215) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-10-09 |