| NPI | 1417088287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1367) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA13236) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |