| NPI | 1174754253 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC00869) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1003) | 
| Enumeration Date | 2009-08-06 | 
| Last Update Date | 2025-05-12 |