| NPI | 1487282042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0023298) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA.00807572) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-01-10 |