| NPI | 1003241910 |
|---|---|
| Former Name | SHANNON RADHA SMITH-JORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 1098) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 0351) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |