| NPI | 1861716706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 245815) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 1153) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2022-07-21 |