| NPI | 1295957421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00003033) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA00018309) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-08-22 |