| NPI | 1639316201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A1766) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01084) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2011-11-09 |