| NPI | 1639508831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60416820) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60416884) |
| 171100000X Acupuncturist (Licence: OR AC164766) | |
| 175F00000X Naturopath (Licence: OR 2012) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2015-09-26 |