| NPI | 1962865485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC196866) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21636) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-09-22 |