| NPI | 1700123379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 1681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1636196) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2018-05-04 |