| NPI | 1205182862 |
|---|---|
| Former Name | NICOLE ANGELIQUE BREDFELDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3128) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA35332) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-08-14 |