| NPI | 1205024890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00003049) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022854) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2016-01-11 |