| NPI | 1114133642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 1053) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 7596) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-03-04 |