| NPI | 1083175228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC189993) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MT MED-ACU-LIC-74129) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-03-09 |