| NPI | 1053772681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 010753) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13409) |
| 163W00000X Registered Nurse (Licence: CA 676966) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2023-05-31 |