| NPI | 1497802565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU-1610) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9343) |
| 171100000X Acupuncturist (Licence: FL AP2197) | |
| 225700000X Massage Therapist (Licence: CA MA03172) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-05-04 |