| NPI | 1598784332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA2040) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 1751) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-04-20 |