| NPI | 1770828485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OH 000227) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 11906) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2016-05-02 |