| NPI | 1104179746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 889) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14988) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2014-07-29 |