| NPI | 1992096804 |
|---|---|
| Former Name | HEIDI LYNN DE JONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60248752) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 154420) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2014-04-22 |