| NPI | 1124182555 |
|---|---|
| Former Name | MARY FRASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC152786) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 7517) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-02-08 |