| NPI | 1841308780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00006149) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-09-11 |