| NPI | 1740772862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18072) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 64815) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |