| NPI | 1790113959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC185069) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 23730) |
| 171100000X Acupuncturist (Licence: MI 5401000076) | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2019-01-27 |