| NPI | 1063685113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01066) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000401) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |