| NPI | 1518258995 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2967) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA43719) | 
| Enumeration Date | 2011-04-20 | 
| Last Update Date | 2011-04-20 |