| NPI | 1114109154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 460) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 2478) |
| 225X00000X Occupational Therapist (Licence: FL OT 9087) | |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |