| 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 |