| NPI | 1457742033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: KY AC064) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 4515) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-11-19 |