| NPI | 1407092604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACU-348) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC600065362) |
| 225700000X Massage Therapist (Licence: WA MA00023205) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2022-10-13 |