| NPI | 1578943015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16575) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 55269) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-07-21 |