| NPI | 1275016123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC217888) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 24648) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-03-23 |