| NPI | 1427454818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60696037) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0010468) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2016-10-26 |