| NPI | 1477792000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60055129) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA60055129) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-05-07 |