NPI | 1063211258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 10017673) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 28265) |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |