| NPI | 1528508751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT60809552) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60736418) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2019-05-13 |