| NPI | 1104054907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI 1089) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 5168) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2015-01-26 |