| NPI | 1053974717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX ACU01856) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U02718) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-01-15 |