| NPI | 1528037884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT14546) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1643) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-05-08 |