| NPI | 1093832289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 2697) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 398) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-08-14 |