| NPI | 1366850810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0866) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 14555) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2017-01-20 |