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 |