| NPI | 1407094360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC178265) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 545) |
| 225700000X Massage Therapist (Licence: OR 22247) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2016-10-17 |