| NPI | 1689792467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00711) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 5904) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-08-19 |