| NPI | 1962107599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT0024987) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA.00781875) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |