| NPI | 1194967547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 60597502) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198000736) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-01-09 |