| NPI | 1740610286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02858) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD a3283) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2023-10-20 |