| NPI | 1376671230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-001103) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MT 218) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-02-20 |