| NPI | 1093013211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR LMT 15732) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA 60043874) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2021-08-16 |