NPI | 1962040733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198001565) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227013723) |
Enumeration Date | 2019-12-12 |
Last Update Date | 2021-08-20 |