| NPI | 1124411392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA60534502) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: WA RF60485037) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |