| NPI | 1174323034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 174400000X Specialist | |
| 261QV0200X Clinic/Center VA | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |