| NPI | 1134256654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP721) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA10873) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-08-12 |