| NPI | 1801876321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000606) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00502) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |