| NPI | 1417169129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 2138) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 9188) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |