| NPI | 1306177746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 322) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 13267) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2015-11-12 |