| NPI | 1952690539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61579083) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60181852) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-10-15 |