| NPI | 1376926758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 4304) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 503) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |