| NPI | 1578807426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0001834) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 2137) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |