| NPI | 1215253562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: LA 200019) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA 127401) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |