| NPI | 1568850170 |
|---|---|
| Former Name | SHAUNA JOELLE DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60525750) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 15952) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-06-28 |