| NPI | 1174023097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT10749) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU1249) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-09-10 |