| NPI | 1265974927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60890368) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60691165) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2021-12-09 |