| NPI | 1083374631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 203955) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 14524) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2025-10-31 |