| NPI | 1538575089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VA 0121000847) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019015340) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2022-07-13 |