| NPI | 1184986911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC1402) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14829) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2013-04-12 |