| NPI | 1578873337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3169) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 50266) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2014-07-22 |