| NPI | 1750870713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 2224) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 4441) |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2021-01-13 |