| NPI | 1144567736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 937-55) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 11973-146) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2021-10-15 |