| NPI | 1356780761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: NM 7589) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 1034) |
| 172M00000X Mechanotherapist (Licence: HI 8437) | |
| 171100000X Acupuncturist (Licence: NM 1118) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-02-18 |