| NPI | 1285189159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-001133) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0121000785) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-12-30 |