| NPI | 1760142012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17622) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OR 201705692RN) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |