| NPI | 1821702200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC212915) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR PTA9230) |
| 225700000X Massage Therapist (Licence: LMT-12041) | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-05-08 |