| NPI | 1366709719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60302377) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14642) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2014-09-23 |