| NPI | 1336563121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WV 96220) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 000315) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2016-07-08 |