NPI | 1609001122 |
---|---|
Former Name | LUCY FRANCES JEANSONNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 17251) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 31404) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2016-10-02 |