| NPI | 1679707871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 00002475) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00018680) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |