| NPI | 1851569255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: ME 2230) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NH 1189) |
| 172M00000X Mechanotherapist (Licence: MA 9448) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |