| NPI | 1649417007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R021052) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |