| NPI | 1639441520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 010012) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-20576) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2022-09-21 |