NPI | 1801342308 |
---|---|
Former Name | SUMER COCKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR LMT-24086) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: LA 5093) |
Enumeration Date | 2016-08-25 |
Last Update Date | 2018-10-29 |