| NPI | 1194300541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 2051) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MN 1802507) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-10-11 |