| NPI | 1407919350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 0965) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 00002104) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-10-31 |