| NPI | 1629166038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK000864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011013L) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-06-23 |