| NPI | 1558983312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA40916) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3990) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-08-16 |