| NPI | 1396920815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: DC AC24) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U284) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |