| NPI | 1306087648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 157) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL 2989) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2012-03-16 |