| NPI | 1154574556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60719689) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021330) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2017-03-09 |