| NPI | 1720630254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP4073) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA77537) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |