| NPI | 1972826014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: FL MA28511) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA28511) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |