| NPI | 1114491693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5402000031) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17303) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2023-05-10 |