| NPI | 1366803280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175M00000X Midwife, Lay (Licence: OR LD-10196727) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 19383) |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2019-03-06 |