| NPI | 1306217468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02114) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M05381) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |