| NPI | 1356551931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14119) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 14119) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-11-17 |