| NPI | 1730100090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT 7706) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA Ac 117) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-11-16 |