| NPI | 1720365042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX 01240) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 111716) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |