| NPI | 1912152992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC 241) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000136) |
| 171100000X Acupuncturist (Licence: FL AP2411) | |
| 225700000X Massage Therapist (Licence: OH 33.016553) | |
| 225700000X Massage Therapist (Licence: FL MA34106) | |
| 225700000X Massage Therapist (Licence: SC 9602) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2020-01-27 |