| NPI | 1447330170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT3957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 54028) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-08-04 |