| NPI | 1730478801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60049490) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10081799) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |