| NPI | 1295961084 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX ac01138)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0997)  | 
| Enumeration Date | 2009-06-07 | 
| Last Update Date | 2017-03-23 |