| NPI | 1558895763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 19810) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 023250) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-07-19 |