| NPI | 1356550842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC ac30028) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U00780) |
| 225100000X Physical Therapist (Licence: DC PT2487) | |
| 225100000X Physical Therapist (Licence: MD 18405) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-12-10 |