| NPI | 1306158597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60163685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00090815) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2010-07-05 |