| NPI | 1730542762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: AR 8247) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AR 8247) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |