| NPI | 1104283324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA OM000219) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001170) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-04-25 |