| NPI | 1760179097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0005406) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA.00757002) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-26 |