| NPI | 1861198509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1626334) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0022615) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |