| NPI | 1902441678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5688) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 5866) |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |