| NPI | 1417119264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 777-55) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5146-024) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-07-21 |