| NPI | 1023492634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: AR 4938) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR 4938) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2016-01-12 |