| NPI | 1104570498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP4740) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA89364) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2026-04-06 |