| NPI | 1063471530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 000321) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-01-03 |