| NPI | 1194281436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X (Licence: ME NONE) |
| Additional Taxonomies | 171400000X |
| 172M00000X Mechanotherapist | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-09-14 |