| NPI | 1932475399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60208211) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00014217) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |