| NPI | 1962830323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT9) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ME LPN13076) |
| 174H00000X Health Educator (Licence: CO MT9) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |