| NPI | 1063578698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002299) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00017471) |
| 171100000X Acupuncturist (Licence: CA 17059) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-01-29 |