| NPI | 1174759492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1376) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 12501) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2011-11-01 |