| NPI | 1518667153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 13994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 096007075RN) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |