| NPI | 1972928471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 4478) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO 716029) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |