| NPI | 1053092452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 28843) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OR 10004654) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-07-23 |