| 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 |