| NPI | 1023197720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: RI DA000158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 1041) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |