| NPI | 1104954759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60162207) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11198) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-06-16 |