| NPI | 1831521749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AC01427) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 1181611) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2014-09-16 |