| NPI | 1952719155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.006393) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.000933) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |