| NPI | 1720285919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60290648) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00024172) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-05-08 |