| NPI | 1689713745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID 235ACU) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00003028) |
| 174400000X Specialist (Licence: WA MA00020240) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2021-01-27 |