| NPI | 1790056810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 3336) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 57057) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2013-10-30 |