| NPI | 1386373751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OR CPT-0014716) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 23791) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-11-04 |