| NPI | 1699976191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 226473) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 6318) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |