| NPI | 1871898940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: OH AT-1020) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OH 33-009195) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |