| NPI | 1689866758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP499) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA10518) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-14 |