| NPI | 1811549884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0022721) |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 174400000X Specialist | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2020-08-25 |