| NPI | 1104037860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60530881) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00020122) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-05-13 |