| NPI | 1235533902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01506) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MI 5401000174) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2015-11-30 |