| NPI | 1053710038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01494) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15087) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |