| NPI | 1760614325 |
|---|---|
| Former Name | SAMANTHA L GUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AK 135541) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 967859) |
| 225700000X Massage Therapist (Licence: OR 16490) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2022-09-21 |