| NPI | 1962660209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC160695) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14110) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-07-24 |