| NPI | 1790073146 |
|---|---|
| Former Name | DANAE ELAINE MILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61113995) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: TN RCR0000000200) |
| 225700000X Massage Therapist (Licence: TN 8085) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2021-02-25 |