| NPI | 1356628879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 15795) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 10386) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2014-10-09 |