| NPI | 1659315000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2005-0461) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 296) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |