| NPI | 1467583799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AK 166) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 101231) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-12-01 |