| NPI | 1184040644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15515) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2019-09-27 |