| NPI | 1528569647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 17919) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 13088) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |