| NPI | 1770964306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC16452) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 68563) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-11-25 |