| NPI | 1699960443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 1007) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 3206) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2017-06-14 |