NPI | 1134767841 |
---|---|
Former Name | RENE C GOEPPINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.001522) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.014137) |
Enumeration Date | 2019-12-12 |
Last Update Date | 2025-06-18 |