| NPI | 1851952063 |
|---|---|
| Former Name | ELIZABETH BRINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 679-55) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 4829-146) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-01-03 |