| NPI | 1033621446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00638) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WV 96214) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-03-17 |