| NPI | 1568819167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01399) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT033399) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |