| NPI | 1154521847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: GA MT000421) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: NC 400065585) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2013-06-05 |