| NPI | 1306065933 |
|---|---|
| Former Name | LAURISA ANN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00006546) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA00006546) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-02-16 |