NPI | 1912109745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 219938) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 001582) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2015-07-20 |