| NPI | 1336555424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 261147) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: 261147) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-03-17 |