| NPI | 1093138521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 15594) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0002079) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2016-01-08 |