| NPI | 1053770354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02276) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-04-10 |