| NPI | 1154636678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01925) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04674) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2020-07-31 |