| NPI | 1437322138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 00019018) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WA ST61607836) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2025-08-04 |