| NPI | 1104382555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000946) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019006733) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-12-04 |