NPI | 1023495629 |
---|---|
Former Name | ANNA LIZA ENDENO ESTROPIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16589) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 28538) |
Enumeration Date | 2015-05-03 |
Last Update Date | 2015-10-22 |