| NPI | 1659436152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 27645) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 200441640RN) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-06-28 |