| NPI | 1902031362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3388) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 4916) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2014-07-18 |