| NPI | 1861114308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 4488) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA59786) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-09-27 |