| NPI | 1609021245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 10147174) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12921) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2012-05-03 |