| NPI | 1720235526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WV 3501) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 230193) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-04-29 |