| NPI | 1932348810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA60064542) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: ID MAS-4903) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2025-02-06 |