| NPI | 1750664843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MS 2403) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CA 7096) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2023-04-17 |