| NPI | 1235388869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2263) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA9717) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2018-08-07 |