| NPI | 1124339718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 245948) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 0910047356) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-06-28 |