| NPI | 1609623859 | 
|---|---|
| Former Name | NICOLE LUNSFORD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0025781) | 
| Additional Taxonomies | 173C00000X Reflexologist | 
| Enumeration Date | 2024-05-06 | 
| Last Update Date | 2024-05-06 |