| NPI | 1972818672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 12326) |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2014-07-14 |