| NPI | 1790043602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC217532) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18727) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2023-09-08 |