NPI | 1801297619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MD M05146) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: VA 0019006932) |
172M00000X Mechanotherapist (Licence: WV 2013-3105) | |
Enumeration Date | 2014-09-11 |
Last Update Date | 2018-04-16 |