| NPI | 1407195894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1865) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 5921) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |