| NPI | 1699957142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60198404) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00015499) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2016-02-25 |