| NPI | 1396920229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC218666) | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13404) | 
| Enumeration Date | 2008-01-09 | 
| Last Update Date | 2024-04-17 |