| NPI | 1447500855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC204932) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12844) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-10-12 |