| NPI | 1376970764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 803-55) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 4199-146) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |