| NPI | 1427367010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0134002) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA60130160) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2018-05-09 |