| NPI | 1306151790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 018943) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 11417) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |