| NPI | 1356808141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U02527) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001286) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |