| NPI | 1710338041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60611542) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60610979) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-07-21 |