| NPI | 1245773969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: IA 006889) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: IL 227.015890) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2017-02-02 |