| NPI | 1124366604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: SC ACUP 193) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 4796) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |