| NPI | 1932269313 |
|---|---|
| Former Name | KIMBERLY MICHELLE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60241994) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA13686) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-11-23 |