| NPI | 1386267102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: TX AC01964) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM DOM1271) |
| 171100000X Acupuncturist (Licence: FL AP4348) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2022-09-01 |