| NPI | 1619491214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 65.000332) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.022503) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-02-04 |