| NPI | 1376087296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC180198) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 15587) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-03-17 |