| NPI | 1679880298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA60125162) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: AZ MT09112) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |