| NPI | 1336391101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 12784) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004256) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2012-10-15 |