| NPI | 1265872543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 2119) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01424) |
| 171100000X Acupuncturist (Licence: FL 3381) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-03-25 |