| NPI | 1831373539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 8030) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OR 203005) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2019-11-06 |