| NPI | 1598835423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00548) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: WA D160053714) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-09-23 |