| NPI | 1649528886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT MED-ACU-LIC-18496) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 1070) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2018-05-09 |