| NPI | 1174747307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 279433) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI DA00488) |
| 171100000X Acupuncturist (Licence: CA 9560) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-09-04 |