| NPI | 1447586656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME pt292) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT3823) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2017-04-12 |