| NPI | 1144714981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-24768) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ LAc-011975) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-10-01 |