| NPI | 1417353756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: LA ACA200010) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU837) |
| 225700000X Massage Therapist (Licence: CO MT.0005349) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2019-08-22 |