| NPI | 1447785324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: TX MT109178) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: HI MAT-1385) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |