NPI | 1548586001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MA # MT-00019-MT) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MA #MT-00239-MT) |
Enumeration Date | 2010-04-08 |
Last Update Date | 2010-04-08 |