| NPI | 1174842082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC150732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 097006904RN) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |