| NPI | 1235397910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 3349) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA51421) |
| 171W00000X Contractor (Licence: FL 225700000) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-09-16 |