| NPI | 1720533193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 32222) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 7936) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |