| NPI | 1134573199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60629494) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU-1111) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2018-08-06 |