| NPI | 1336595305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: KY AC109) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TN ACU0000000281) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |