| NPI | 1013127760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00479) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: DC AC64) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |