| NPI | 1780081661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: GA RN113796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN113796) |
| 174H00000X Health Educator (Licence: GA RN113796) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |