| NPI | 1578693206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0102) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT03648P) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |