| NPI | 1548479298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 03224) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 226521) |
| 171100000X Acupuncturist (Licence: OR AC165202) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-01-02 |