| NPI | 1104085620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA OM000075) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 958) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-10-01 |