| NPI | 1730491341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: FL MA25931) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: FL MM9131) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |