| NPI | 1669440046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT4419) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP701) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2018-03-17 |