| NPI | 1336905967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 27230) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR 10209655) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |