| NPI | 1104053073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACU-205) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC151258) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2011-03-11 |