| NPI | 1083820922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U00935) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121-000120) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |