| NPI | 1043594336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020369) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001100) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-11-16 |