| NPI | 1215075676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0304) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 573) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |