| NPI | 1275533978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2305) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AC00755) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2022-05-26 |