| NPI | 1063621340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000930) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.005001) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-03-04 |