| NPI | 1124106679 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 0001848)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA MD000019469)  | 
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2015-04-01 |