| NPI | 1578525002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC-9302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT-24320) |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2010-11-01 |