NPI | 1154691053 |
---|---|
Other Name | TINA LOUISE RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 26511) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
176B00000X Midwife | |
Enumeration Date | 2012-01-09 |
Last Update Date | 2025-04-01 |