| NPI | 1588912059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60857979) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60293315) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2018-08-14 |