| NPI | 1922307776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 582) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 1661) |
| 171100000X Acupuncturist (Licence: FL 3165) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2014-02-21 |