| NPI | 1013148840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 999) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 3765) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2013-05-31 |