| NPI | 1639431539 |
|---|---|
| Professional Name | SEFANA WILDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 14710) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |