| NPI | 1053648568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA 60114035) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: WA not required) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2010-10-25 |