| NPI | 1316929060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 19467) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 27789) |
| 171000000X Military Health Care Provider (Licence: CA PT27789) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-01-22 |