| NPI | 1033420526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MO 2011026811) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 245781) |
| 163W00000X Registered Nurse (Licence: MO 089726) | |
| 163W00000X Registered Nurse (Licence: IL 041.346537) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2014-10-11 |