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 |