| NPI | 1912273129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC 60535443) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00010487) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2023-02-03 |