NPI | 1295903532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MA L.M.T. 2007-1510P) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MA 2007-1510P) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |