| NPI | 1992172837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC173876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10027885) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2025-01-28 |