| 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 |