| NPI | 1033582473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC.61209299) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60453759) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2023-09-19 |