| NPI | 1386763795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175M00000X Midwife, Lay |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 3150) |
| 225700000X Massage Therapist (Licence: WA MA00004670) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |