| NPI | 1245536465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 16722) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: OR 16722) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-13 |