| NPI | 1184002081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC1149835) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC61149835) |
| 225700000X Massage Therapist (Licence: WA MA00019138) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-12-23 |