| NPI | 1245698802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000610) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL 3447) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |