| NPI | 1396261301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121001035) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 19855) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-06-28 |