| NPI | 1164530192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC000763) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-02-07 |