| NPI | 1376707646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: RI DAOM00076) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC11795) |
| 171100000X Acupuncturist (Licence: VA 012000592) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-01-28 |