| NPI | 1407068356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01718) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 19264) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2021-01-06 |