| NPI | 1407078249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 2032) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU00001501) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-04-14 |