| NPI | 1285719815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17654) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01138) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-03-01 |