| NPI | 1104993831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 216159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 19009) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-01-08 |