| NPI | 1497087555 |
|---|---|
| Former Name | WANDA ELIZABETH COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC150417) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12447) |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2015-02-20 |