| NPI | 1053444729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA2550) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT1170) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |