| NPI | 1215195292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0580) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1011) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2016-12-13 |