| NPI | 1740420876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 2558) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO 718062) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |