| NPI | 1790186229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: FL MA90274) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: CA 15570) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2019-01-09 |