| NPI | 1891814042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00049320) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00003591) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |