| NPI | 1619186939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23597) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-10-22 |