| NPI | 1831307479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00482) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 6025) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-12-07 |