| NPI | 1205062031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 3634) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3634) |
| 225700000X Massage Therapist (Licence: MA 2946) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2022-07-21 |