| NPI | 1124558010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 17661) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: 17661) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-03-11 |