NPI | 1396093191 |
---|---|
Former Name | INGEBRITT LARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60297984) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14930) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-08-27 |