| NPI | 1417549833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO LMT.0023980) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA.00507824) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |