| NPI | 1801926316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK000650) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1988) |
| 225100000X Physical Therapist (Licence: PA PT008788L) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-09-11 |