| NPI | 1194815506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK000533L) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: PA RT000151A) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2010-09-27 |