| NPI | 1285136739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0101) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY 110) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |