| NPI | 1407262801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IA A-138) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 007159) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2025-10-09 |