| NPI | 1003115320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0903) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 154036) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2014-03-27 |