| NPI | 1073731782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 8875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT16576) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-06-01 |