| NPI | 1851531719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 179610) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15549) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2017-02-02 |