| NPI | 1982724910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00123539) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA12644) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2014-01-21 |