NPI | 1053825166 |
---|---|
Former Name | NOEMI MARIE ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT0012756) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2017-11-28 |
Last Update Date | 2018-03-17 |