| NPI | 1912263732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: IL 227.004338) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: IL 227.004338) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |