| NPI | 1053394783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 10921) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 10921) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2013-07-09 |