| NPI | 1063787513 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000476)  | 
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00000958)  | 
| Enumeration Date | 2012-03-16 | 
| Last Update Date | 2012-03-16 |