| NPI | 1497982359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: WA va60086966) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60071093) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-06-08 |