| NPI | 1932462736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 1360) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 476) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-12-28 |