| NPI | 1679612865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 2922) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000525L) |
| 225100000X Physical Therapist (Licence: PA PT002254E) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-09-27 |