| NPI | 1265262349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC02112) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT127199) | 
| Enumeration Date | 2024-08-05 | 
| Last Update Date | 2024-08-05 |