| NPI | 1861719502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 48634) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3062) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2013-09-11 |