| NPI | 1326549072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01660) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT047394) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |