| NPI | 1316585045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO ACU0002503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN0193655) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |