| NPI | 1013290915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 000064) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000860) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2023-12-07 |