| NPI | 1447505508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: NE 1002) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: SD 373) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |