| NPI | 1174819270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC61487455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 06007460) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2025-03-27 |