NPI | 1114191301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 230120) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 303) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2015-05-06 |