| NPI | 1992359087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: OR 200641641RN) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 24965) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |