| NPI | 1952647661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5401000067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501001365) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2014-12-16 |