| NPI | 1306282413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 3764) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 6531) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2016-11-18 |