| NPI | 1245423102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871822) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: DC AC500229) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2015-08-25 |