| NPI | 1073782116 |
|---|---|
| Former Name | ROXANNE MARIE GREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00005736) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WA MA00005736) |
| 171W00000X Contractor (Licence: OR 9083) | |
| 225700000X Massage Therapist (Licence: OR 9083) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2014-04-01 |