| NPI | 1225300809 | 
|---|---|
| Former Name | KAORI WATANABE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC 14052) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI ACU 1021) | 
| Enumeration Date | 2012-01-30 | 
| Last Update Date | 2016-03-02 |