| NPI | 1043680002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3866) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 16733) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2018-01-09 |