| NPI | 1205106994 |
|---|---|
| Former Name | LULU TARA ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5401-000026) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1776) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2019-02-15 |