| NPI | 1881895373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60787593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60787593) |
| 225700000X Massage Therapist (Licence: WA MA00008257) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-10-08 |