| NPI | 1477626323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 1905) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60261321) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-05-21 |