| NPI | 1639758055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0023319) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO PN.0334100) |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2021-04-04 |