| NPI | 1063686608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60412491) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1416) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-04-07 |