| NPI | 1790479624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-010746) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-23136) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |