| NPI | 1104054733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC11525) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma60086307) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-05-31 |