| NPI | 1982148672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC20186) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60723656) |
| 172M00000X Mechanotherapist (Licence: WA MA60448826) | |
| 172M00000X Mechanotherapist (Licence: CA 3134) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2025-03-26 |