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 |