| NPI | 1467819003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 178049) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21658) |
| 225700000X Massage Therapist (Licence: HI 12819) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2022-07-21 |