| NPI | 1467535823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 1668) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-07-08 |