| NPI | 1720357007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005531-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60248784) |
| 225700000X Massage Therapist (Licence: WA MA60194661) | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2016-01-12 |