| NPI | 1174937478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16664) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004577-1) |
| 225700000X Massage Therapist (Licence: CA 48836) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2015-05-13 |