| NPI | 1578866505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 0002712) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA47052) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2023-04-12 |