| NPI | 1316273915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MO 2007006251) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: ID MX090119) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |