| NPI | 1326415969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1612) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK 88) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2020-08-25 |