| NPI | 1881234672 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 18473) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 74548) | 
| Enumeration Date | 2020-01-09 | 
| Last Update Date | 2020-01-09 |