| NPI | 1720556350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC500278) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M05989) |
| 225700000X Massage Therapist (Licence: DC MT2224) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |