| NPI | 1053728915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 17848) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 58164) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2017-10-26 |