| NPI | 1326217613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DE CQ-0000049) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00003075) |
| 225700000X Massage Therapist (Licence: WA MA00024009) | |
| 225700000X Massage Therapist (Licence: DE MT-0004161) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2016-02-17 |