| NPI | 1548710312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60627682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PL000011363) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |