| NPI | 1548794779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OR 22707) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CA 5098) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |