| NPI | 1306028790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 012544 NCCAOM) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65000050) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |