| NPI | 1528440260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19856) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 6622) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |