| NPI | 1710318902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60330063) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60185180) |
| 133V00000X Dietitian, Registered (Licence: WA DI60344908) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |