| NPI | 1619183670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002969) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MC00005579) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-10-16 |