| NPI | 1083151922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02385) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04743) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |