| NPI | 1386841245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 714-55) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 2710-046) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2018-03-17 |