| NPI | 1578978979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OR 201330059LPN) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 7844) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2015-01-08 |