| NPI | 1124632476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA CA18586) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA 78334) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |