| NPI | 1366490468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NV 1004) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 8116) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |