| NPI | 1174865422 |
|---|---|
| Former Name | KILEEN JOY SWENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC160234) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 160234) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2022-12-21 |