| NPI | 1619035623 |
|---|---|
| Former Name | ROSE WIEBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00011941) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA000011941) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2012-11-09 |