| NPI | 1407925548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA WA00002200) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002200) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-09-11 |