| NPI | 1184928483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA Ac60185523) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60198889) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2020-01-16 |