| NPI | 1154896165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 3967) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL 9248453) |
| 225700000X Massage Therapist (Licence: FL 32334) | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |