| NPI | 1467809756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-23097) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0817) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-11-28 |