| NPI | 1588898696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61664008) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60012264) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2025-03-07 |