| NPI | 1174575062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 7633) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: 15861) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-01-18 |