| NPI | 1063714228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60191293) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC152930) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2016-01-10 |