| NPI | 1194854000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11082) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: OR 11082) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-04-03 |