| NPI | 1003060120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 31375) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 3017) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2013-02-19 |