| NPI | 1104407568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0023836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.01980) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-04-17 |