| NPI | 1578712774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: WA MA00023541) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: WA MA00023541) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |