| NPI | 1205326634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 0002243) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0019569) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |