| NPI | 1407075591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60992239) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA Ma00007705) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-12-03 |