| NPI | 1679678783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00083190) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00003953) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |