| NPI | 1598191009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TN 459) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17162) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2022-03-04 |