| NPI | 1477580256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01552) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M03636) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD 870325) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-03-28 |