| NPI | 1225355621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000422) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000491) |
| 171100000X Acupuncturist (Licence: NY 004204-1) | |
| 171100000X Acupuncturist (Licence: VA 0121000599) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-08-04 |