| NPI | 1578691697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 13160) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01000) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-11-28 |