| NPI | 1790575645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 28974) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 28974) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-15 |