| NPI | 1033530803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 15818) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2013039315) |
| 225700000X Massage Therapist (Licence: CA 4541) | |
| 225700000X Massage Therapist (Licence: MO 2013036415) | |
| Enumeration Date | 2013-12-22 |
| Last Update Date | 2015-04-17 |