| NPI | 1255697280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 350) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 16064) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2014-09-02 |