| NPI | 1104038710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WV 96146) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01040) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |