| NPI | 1447602594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT5792) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA4087) |
| 225700000X Massage Therapist (Licence: ME MT58792) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-10-09 |