NPI | 1417258765 |
---|---|
Former Name | STEFANIE HELENE PITTHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1532) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 2858) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2016-04-25 |