| NPI | 1972743730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: AZ 5932) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: FL 35235) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2022-01-19 |