| NPI | 1679089288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 1216) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 8363) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |