| NPI | 1134321086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 00678) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 2197) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |