| NPI | 1932429305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: DC MT21) |
| Additional Taxonomies | 374700000X Technician (Licence: VA 0019005898) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |