| NPI | 1518217405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: GA MT006850) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA MT006850) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |