| NPI | 1326276940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MT no riquired) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MT lpn8134) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |