| NPI | 1366571481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018041) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 2768) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-04-27 |