NPI | 1700281789 |
---|---|
Former Name | CAITLYN GILLASPY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202105582RN) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20126) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2021-06-22 |