| NPI | 1215477450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT 4600) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU 1196) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |