NPI | 1346351145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0400X Registered Nurse Rehabilitation (Licence: WA RN074103) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA07749) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |