| NPI | 1356471387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00001906) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00008210) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |