| NPI | 1760432330 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 579) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 40826) | 
| Enumeration Date | 2006-05-12 | 
| Last Update Date | 2010-06-21 |