| NPI | 1326505181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 0000301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007097) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |