| NPI | 1104178664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60797978) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 84000150A) |
| 225700000X Massage Therapist (Licence: WA MA60798007) | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2019-02-20 |