| 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 |