| NPI | 1366981839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 932) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 16220) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-10-28 |