| NPI | 1073070157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WV 961369) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2008-2379) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |