| NPI | 1396143194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MI 5401000082) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 7100) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |