| NPI | 1053700534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN665301) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |