| NPI | 1710106646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MO LC014481413) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00022603) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-01-11 |