| NPI | 1558566232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00003019) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000471) |
| 225700000X Massage Therapist (Licence: VA 0019006787) | |
| 225700000X Massage Therapist (Licence: WA MA00020606) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-03-13 |