| NPI | 1548791213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 26612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201700676RN) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-11-29 |