| NPI | 1740299403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00087284) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00000661) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |