NPI | 1043627334 |
---|---|
Former Name | ERIN ROSE WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC169614) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20855) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2021-10-15 |