| NPI | 1013293893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC209789) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15234) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2022-05-24 |