| NPI | 1053665539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035443) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006589) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2019-09-25 |