| NPI | 1356747323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC169718) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC 60504025) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2016-10-19 |