| NPI | 1477244523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61436047) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA lp00044690) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-06-05 |