| NPI | 1578946430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3605) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 60318130) |
| 225700000X Massage Therapist (Licence: WA 60288495) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2024-08-14 |