| NPI | 1396051728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60133087) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00023436) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2013-03-27 |