| NPI | 1780915058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60058151) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021474) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2011-12-30 |