| NPI | 1669645164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00004504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00087016) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |