| NPI | 1083996144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI 982) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT - 7355) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2014-06-03 |