| NPI | 1154587608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 995) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA 14545) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-12-09 |