| NPI | 1275798274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL ma42181) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3489) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2015-01-08 |