| NPI | 1013268150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MT 28700) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14729) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2021-02-10 |