| NPI | 1659423614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000498) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00003246) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-07-21 |