| NPI | 1376099093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 10000) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OR 10000) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |