| NPI | 1003509209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0003700) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CO MT.0003700) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |