| NPI | 1588816805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP900) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA18930) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2021-08-03 |