| NPI | 1770935066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA60629301) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 22308) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |