| NPI | 1104633981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA CA20215) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 25096) |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2026-07-14 |