| NPI | 1013192517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01174) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 7946) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-09-24 |