| NPI | 1366889594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 00172) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NTPFDN) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |