| NPI | 1134254501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002611) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM DOM 780) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |