| NPI | 1730319443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: CO MT-002445) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 919508) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2021-04-13 |