| NPI | 1609171040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 2934) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 39298) |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2011-03-29 |