| NPI | 1528377207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01203) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT038682) | 
| Enumeration Date | 2010-09-29 | 
| Last Update Date | 2010-10-11 |