NPI | 1932629029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 7947) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02468) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2021-03-30 |