| NPI | 1801217195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18490) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 10423) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2019-05-09 |