| NPI | 1710106471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002247) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00011147) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-11-14 |