| NPI | 1154450062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU.0002466) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 293-055) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-02-11 |