| NPI | 1649449299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT MED-ACU-LIC-58960) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 214) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2018-03-17 |