| NPI | 1205123957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ND 2020-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 8710) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-06-19 |