| NPI | 1285761585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00663) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 7049) |
| 171100000X Acupuncturist (Licence: WA AC00002271) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-11-15 |