| NPI | 1194041020 |
|---|---|
| Former Name | NELLIE GRIESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60349569) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 16594) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2013-09-20 |