| NPI | 1174164859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33485) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP4097) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-03-24 |