| NPI | 1568685642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC6006789) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00017680) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-02-02 |