| NPI | 1013235654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 14-1463) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13559) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2015-02-10 |