| NPI | 1801305487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 184969) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20000) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-11-19 |