| NPI | 1194801068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 873) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NM 00014277) |
| 101YM0800X Counselor Mental Health (Licence: NM 0075171) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |