| NPI | 1740430537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MN 172M00000X) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: MN 173C00000X) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2013-06-12 |