| NPI | 1154722726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: HI MAT14419) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA60486689) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2016-12-02 |