NPI | 1235398553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: ME 37578) |
Additional Taxonomies | 222Z00000X Orthotist |
174400000X Specialist (Licence: ME OA2580) | |
174400000X Specialist (Licence: ME MT714) | |
Enumeration Date | 2008-06-02 |
Last Update Date | 2012-04-11 |